Question

A 54-year-old man with melena is haemodynamically stable after resuscitation. Haemoglobin is 6.8 g/dL. No active cardiac ischaemia. What is the next best step?

Accepted Answer

Transfuse packed red blood cells now (restrictive threshold <7 g/dL)

Answer

Defer transfusion until endoscopy

Answer

Transfuse only if haemoglobin <6 g/dL

Answer

Start octreotide infusion before transfusion

Answer

Urgent endoscopy within 6 hours without transfusion

Practice question

A 54-year-old man with melena is haemodynamically stable after resuscitation. Haemoglobin is 6.8 g/dL. No active cardiac ischaemia. What is the next best step?